试题与答案

二十八初孕妇,孕33周,自觉乏力、食欲差,伴恶心、呕吐2周,小便深黄色,皮肤瘙痒5日

题型:单项选择题 A3/A4型题

题目:

二十八初孕妇,孕33周,自觉乏力、食欲差,伴恶心、呕吐2周,小便深黄色,皮肤瘙痒5日。查体:体温37.5℃,血压130/90mmHg,神志清,皮肤巩膜黄染,躯干及四肢皮肤可见散在出血点,肝肋下未触及,胎头入盆,胎心140次/分。

若ALT542U/L,总胆红素85.5μmol/L,结合胆红素46μmol/L,尿胆红素(+),HBsAg(+),本例最可能的诊断是()

A.妊娠高血压疾病引起的肝损害

B.妊娠剧吐

C.妊娠急性脂肪肝

D.妊娠合并病毒性肝炎

E.妊娠肝内胆汁淤积症

答案:

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参考答案:洗油沥青

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题型:单项选择题

Kevin Hines, a manic-depressive, was 19 and in one of his weekly downswings on an overcast Monday morning in 2000. He went to the nearby Golden Gate Bridge to kill himself mostly because, with only a four-foot (1.2-metre) railing to leap, "I figured it was the easiest way." He dived over, but flipped and hit the water at 75mph with his feet first. His legs were crushed, but he somehow stayed conscious and started paddling with his upper body until the Coast Guard fished him out.

Mr. Hines is one of 26 people who have survived suicide attempts at the bridge, but 1 223 are known to have succeeded (i. e., were seen jumping or found floating). People are throwing themselves off the bridge at the rate of two a month, which makes it the most popular place in the world for suicides. One book on the subject says that the Golden Gate is "to suicide what Niagara Falls is to honeymooners".

Many San Franciscans think that the solution is to emulate the Empire State Building, the Sydney Harbour Bridge, the Eiffel Tower, St. Peter’s basilica and other such places and put up a simple barrier. This, however, is a decision for the 19 board members of the Golden Gate Bridge, Highway and Transportation District, an entity that oversees the bridge itself and the buses and ferries that operate in the area. Most of its revenues’ come from tolls and fares, and the district loses money. A barrier would cost between $15 million and $ 25 million.

So the Psychiatric Foundation of Northern California, which has adopted the barrier as its cause, considers it a success that the board has merely allowed a feasibility study, for which various private and public donors have raised

$ 2 million. Mel Blaustein, a director at the foundation, has heard several arguments against a barrier over the years-too ugly, too expensive, and so forth--but the most persistent has been that people would simply kill themselves somewhere else, so why bother.’ This is nonsense, he says, "Most suicides are impulsive and preventable." A bridge without a barrier, adds Pat Hines, Kevin’s father, is "like leaving a loaded gun in the psychiatric ward.\

What will the author mention after Paragraph 4()

A. Some examples that bridges with barriers saved many people’s lives

B. Some suicides were successfully prevented

C. Some barriers over bridges are accepted both ornamentally and financially

D. Some barriers over bridges are in progress

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